Organization
PREMIER MEDICAL OF SC LLC
Active
Other names
Premier Medical
Organization subpart
No
Provider details
NPI number
Authorized official
KAREY BREEN MD (MD)
(843) 225-2374
Entity
Organization
Contact information
Practice address
5880 RIVERS AVE, NORTH CHARLESTON, SC 29406-6053
(843) 225-2374
(843) 459-1923
Mailing address
354 FOLLY RD STE 5, CHARLESTON, SC 29412-2594
(843) 225-2374
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP9928
—
SC
05
—
PG0752
—
SC
Enumeration date
12/16/2018
Last updated
05/10/2022
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